| Kelly Jo Bleakley, PA-C | |
|
3450 11th Ct Ste 105, Vero Beach, FL 32960-5012 | |
| (772) 778-3680 | |
| Not Available |
| Full Name | Kelly Jo Bleakley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3450 11th Ct Ste 105, Vero Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124676580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9269 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 025755 (New York) | Secondary |
| 363A00000X | Physician Assistant | PA9117749 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Jo Bleakley, PA-C 141 Royal Palm St, Sebastian, FL 32958-4047 Ph: (772) 473-3320 | Kelly Jo Bleakley, PA-C 3450 11th Ct Ste 105, Vero Beach, FL 32960-5012 Ph: (772) 778-3680 |
Mr. Robert Matthew Tack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Mr. Craig Joseph Romero, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 772-563-4706 | |
Mr. Kevin John Ziegler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3730 7th Ter Ste 101, Vero Beach, FL 32960 Phone: 772-567-2332 Fax: 844-812-2806 | |
Jenny Ngan Nguyen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Kyle Anthony Franzone, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Laura Leigh Walsh, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1880 37th St, Suite 4, Vero Beach, FL 32960 Phone: 772-778-1400 Fax: 772-778-4626 | |
Kristen J Landt, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 36th St, Emergency Department, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 904-346-0113 |